| NPI | 1417182163 |
|---|---|
| Former Name | SARA LYNN BELANUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND RL11213) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 61670) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2019-04-24 |